BRANDON ST PETERS

CHICAGO, IL
NPI1740947704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.026357)
Additional Taxonomies2251S0007X Physical Therapist, Sports
(Licence: IL  070.026357)
2251X0800X Physical Therapist, Orthopedic
(Licence: IL  070.026357)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
BRANDON ST PETERS DPT
3228 N CLARK ST
CHICAGO, IL 60657-1602
Phone number: 773-857-0689
Mailing Address
BRANDON ST PETERS DPT
3635 N WILTON AVE APT 2
CHICAGO, IL 60613-4575
Phone number: 615-478-4575